Evidence map›Paper›PMID 42454832›Full record

ArticleCoDAS2026

Accuracy and cut-off values of different acoustic measures in the sustained vowel task of Brazilian Portuguese speakers.

Amanda Feliciano, Mara Behlau, Jordana Balbinot, Samuel Ribeiro de Abreu, Vanessa Veis Ribeiro, Leonardo Wanderley Lopes

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Article in CoDAS, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Amanda FelicianoCentro de Estudos da Voz - CEV - São Paulo (SP), Brasil.ORCID http://orcid.org/0009-0008-4371-5977
Mara BehlauCentro de Estudos da Voz - CEV - São Paulo (SP), Brasil.ORCID http://orcid.org/0000-0003-4663-4546
Jordana BalbinotCentro de Estudos da Voz - CEV - São Paulo (SP), Brasil.ORCID http://orcid.org/0009-0005-5641-5218
Samuel Ribeiro de AbreuUniversidade Federal de Rondonópolis - UFR - Rondonópolis (MS), Brasil.ORCID http://orcid.org/0000-0002-8278-9345
Vanessa Veis RibeiroDepartamento de Fonoaudiologia, Faculdade de Ciências e Tecnologias em Saúde, Universidade de Brasília - UnB - Brasília (DF), Brasil.ORCID http://orcid.org/0000-0002-3089-6085
Leonardo Wanderley LopesDepartamento de Fonoaudiologia, Centro de Ciências da Saúde, Universidade Federal da Paraíba - UFPB - João Pessoa (PB), Brasil.ORCID http://orcid.org/0000-0001-9041-7114

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo define cut-off values for acoustic measures extracted from the sustained vowel [a] task to discriminate between the presence and absence of vocal disorders in Brazilian Portuguese speakers.

methodsThe sample consisted of 376 participants, 288 female and 88 male, with a mean age of 41.20 ± 14.04 years. All individuals underwent a laryngological evaluation and a voice recording session, during which a sustained vowel [a] sample was collected. Subsequently both auditory-perceptual and acoustic analyses of the voice were performed. Among the participants 277 were classified as having a vocal disorder and 99 as having no vocal disorder. A total of 44 acoustic measures were extracted and analyzed using ROC curves to determine the cut-off value for each measure, along with their performance metrics (sensitivity, specificity and AUC).

resultsCut-off values were established for 23 of the 44 extracted acoustic measures. Six measures showed robust and clinically relevant performance in discriminating between voices with and without vocal disorders in Brazilian Portuguese speakers. The measures with AUC values greater than 0.70 and balanced sensitivity and specificity above 70% were: Amplitude Variability Index (AVI) (≤0,91), Glottal-to-noise excitation (GNE)2000Hz (>0,92), Spectral Noise Level (SNL)100-2600Hz (≤7,71), SNL100-3000Hz (≤3,38), SNL100-8000Hz (≤10,95) and SNL5100-8000Hz (≤-1,84).

conclusionSix acoustic measures demonstrated satisfactory performance in identifying the presence of vocal disorders in Brazilian Portuguese speakers. Ten measures showed good performance for voice screening purposes and seven for diagnostic confirmation of vocal disorders.

Indexed as

Speech AcousticsSpeech Production MeasurementVoice DisordersVoice QualityAdultBrazilFemaleHumansMaleMiddle AgedReference ValuesROC CurveSensitivity and SpecificityYoung Adult

Identifiers

PMID42454832
PMCPMC13330937

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